HomeAnswersDermatologyacneI have a small non-painful red pimple on my scalp. Kindly help.

Can you suggest if the red pimple on my scalp is a melanoma?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Shama Naaz

Medically reviewed by

Dr. K. Shobana

Published At May 18, 2022
Reviewed AtJanuary 29, 2024

Patient's Query

Hi doctor,

I discovered a tiny red pimple on my scalp. It is not painful or itchy. I suffer from health anxiety. Bleeding happens from constant scratching. Is it a skin cancer like melanoma? Please help me, doctor. Thank you.

Answered by Dr. Shama Naaz

Hi,

Welcome to icliniq.com.

I can understand your concern. Please send a clear photograph of your skin lesion. Also, please do not scratch your scalp and wash your scalp two to three times a week. Thank you.

Patient's Query

Hi doctor,

Thanks for the response. Is it basal cell carcinoma or melanoma cancer? This seems to be present for months with the same size and exact location. Thank you.

Answered by Dr. Shama Naaz

Hi,

Welcome to icliniq.com.

Could you please tell me if you took these images (attachment removed to protect the patient's identity) when they were freshly scratched or in the healing stage? Can you send me a clear photograph of the scalp lesion? For how long is the lesion present? Thank you.

Patient's Query

Hi doctor,

It is a picture of a freshly scratched lesion. Can you tell me whether it looks like basal cell carcinoma or melanoma, in your opinion? Thank you.

Answered by Dr. Shama Naaz

Hi,

Welcome back to icliniq.com.

Basal cell carcinoma and melanoma are severe medical conditions and need more investigations to finalize the diagnosis. Trichoscopic findings of benign and malignant disorders can overlap. Also, the confirmatory diagnosis is made by biopsy of the lesion and histopathological examination. But if your lesion is due to infection (like bacterial infection due to scratching), you should not get a biopsy done because the infection will spread. So history is essential to give you a piece of accurate information and help you get proper treatment. I hope you understand. Thank you.

The Probable causes

It can be scalp folliculitis.

Investigations to be done

I suggest to get a clinical examination, wood's lamp examination, and histopathological examination done.

Differential diagnosis

The differential diagnosis are Seborrhea and scalp psoriasis.

Treatment plan

Take antibiotic treatment to heal severely scratched areas. Further treatment will be given according to the confirmed diagnosis.

Preventive measures

Avoid trauma and maintain proper hygiene.

Patient's Query

Hi doctor,

Thanks for the response. Should I consult a dermatologist or a trichologist? Thank you.

Answered by Dr. Shama Naaz

Hi,

Welcome back to icliniq.com.

I suggest you go to a dermatologist. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shama Naaz
Dr. Shama Naaz

Dermatology

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